New York Compliance

Posting Requirements 51

Every employer must post in a conspicuous place a notice, (Form C-105) Notice of Compliance - Workers' Compensation Law, that the employer has obtained workers' compensation coverage for their employees. The C-105 form informs employees that their employer is in compliance with the Workers' Compensation Law and of their rights and obligations if they suffer a work related injury or occupational disease. For employers who own or operate horse-drawn or automotive vehicles the notice prescribed by the Board to be posted is the C-105.1 form.

Forms C-105 and C-105.1 are not available online.

Employers obtain the C-105 or C-105.1 forms from the insurance carrier that provides coverage.

Carriers, their licensed agents, and Self-Insured Employers may email the Board at Certificates@wcb.ny.gov to obtain controlled forms not available on the website.

An employer who fails to post the C-105 conspicuously about the employer's place of business will be fined up to $250.